Pubdate: Wed, 19 May 1999 Source: Toronto Star (Canada) Copyright: 1999, The Toronto Star Contact: http://www.thestar.com/ Author: Tim Harper, Toronto Star Ottawa Bureau TAX HIKES TURN TEENS OFF SMOKING: STUDYHigher prices save lives, World Bank report says OTTAWA - Some 10 million tobacco-related deaths could have been prevented over the past four years if cigarette taxes were hiked 10 per cent per package, the World Bank reported yesterday. In a report released to health ministers meeting in Geneva, the bank argues that tax hikes are the most effective means of stopping adolescents from smoking. The study also attempts to dismiss fears that tax hikes could decrease tax revenues by reducing the number of smokers and says fears of massive smuggling operations should not be an argument against tax hikes. ``Rather than forgoing tax increases,'' the report states, ``the appropriate response to smuggling is to crack down on criminal activity.'' It was the smuggling concerns that led to massive tobacco tax rollbacks in Canada, particularly in Ontario, Quebec and the Maritime provinces in 1994. In Ontario, for example, the price of a carton of 200 cigarettes was rolled back by $19.20. Since then, Ottawa and Queen's Park have added only $3.20 to the cost of that carton through taxes. ``It's completely baffling to us why the federal and provincial governments have not raised tobacco taxes,'' said Rob Cunningham of the Canadian Cancer Society. ``There is compelling data available on the effect on adolescent smoking. ``We are in a position now where a carton of cigarettes in the United States is now $15 more expensive than in Canada.'' The bank report was released at the World Health Assembly, a body made up of health ministers around the world and the governing body of the World Health Organization. Ottawa's delegation is led by Toronto MP Elinor Caplan, parliamentary secretary to federal Health Minister Allan Rock. British Columbia's Penny Priddy, the first provincial health minister to try to recoup health-care costs from tobacco companies, was scheduled to deliver an address to international delegates. The World Bank says smoking already kills one in 10 adults worldwide, but that number will rise to one in six by 2030. The heaviest tolls are shifting toward the world's poorest countries and the World Bank now says within 20 years, seven of 10 people killed by smoking will be in low-income and middle-income nations. ``The most effective way to deter children from taking up smoking is to increase taxes on tobacco,'' the World Bank says in its report. ``High prices prevent some children and adolescents from starting and encourage those who already smoke to reduce their consumption.'' Evidence from all countries also shows higher taxes induce adult smokers to quit and reduce the number of ex-smokers who begin again. A 10 per cent tax increase would reduce consumption by 4 per cent - worldwide that would mean 40 million smokers would have quit by now if the hike had been implemented in 1995. Eight of 10 smokers in more prosperous, industrialized nations, such as Canada, begin in their teens, the study says. Smoking-related health-care costs account for 6 to 15 per cent of total governmental spending on an annual basis, the report says. - --- MAP posted-by: Don Beck